Area Agency on Aging AAA Overview January 23, 2018 Gig i Me inig , - PowerPoint PPT Presentation

Promoting quality of life, independence, and choice for older people and adults with disabilities in Seattle-King County Area Agency on Aging “AAA” Overview January 23, 2018 Gig i Me inig , Pla nne r Ag ing & Disa bility Se rvic e s Gig i.Me inig @se a ttle .g ov

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What are the biggest challenges?  Given the changing demographics in the Aging population 3

Objectives  Pro vide c o nte xt / o ve rvie w o f Are a Ag e nc ie s o n Ag ing (AAAs)  E xpla in the ro le a nd func tio ns o f the K ing Co unty AAA  Pro vide a n intro duc tio n to o ur Are a Pla n  L e a rn ho w we c a n wo rk to g e the r 4

T he Politic s of Ag ing  1960s-70s: g ro wing so c ia l c o nsc io usne ss, o ld- a g e po lic ie s we re wide ly a c c e pte d.  Olde r Ame ric a ns Ac t (OAA) 1965  Gra nts sta te s funding fo r se rvic e s a nd re se a rc h in the fie ld o f a g ing  Gre w to suppo rt a na tio na l ne two rk o f Are a Ag e nc ie s o n Ag ing “ Every State and every community can now move toward a coordinated program of services and opportunities for our older citizens.” President Lyndon B. Johnson, July 1965 5

AAA’s Ac ross the Na tion  Na tio na lly e sta b lishe d in the 1973 Olde r Ame ric a ns Ac t  629 “On the g ro und" o rg a niza tio ns a re c ha rg e d with he lping vulne ra b le o lde r a dults live with inde pe nde nc e a nd dig nity within the ir c o mmunitie s. AAAs pla y a ke y ro le in A wide ra ng e o f L o ng -te rm se rvic e s & suppo rts Planning Developing Coordinating Delivering 6

Na tiona l Ag ing Ne twork Administra tion De ve lo ps po lic ie s a nd impro ve s for Community suppo rts fo r o lde r a dults a nd pe rso ns L iving with disa b ilitie s o f all a g e s Dire c ts fe de ra l funding to Sta te Administra tion Units o n Ag ing to pro vide se rvic e s on Ag ing to o lde r a dults a nd c a re g ive rs Allo c a te s funds to de sig na te d Are a Ag e nc ie s o n Ag ing a nd o ve rse e s Sta te Units on pro g ra m o pe ra tio ns (WA DSHS) Ag ing https:/ / www.dshs.wa .g o v/ a ltsa 7

Sta te Ne twork  DSHS Ag ing a nd L ong T e rm Se rvic e s a nd Supports SA) is Wa shing to n’ s Sta te Unit Administra tion (AL T o n Ag ing (pa rt o f DSHS)  Wa shing to n is divide d into 13 pla nning a nd se rvic e a re a s (PSAs) c a lle d the Wa shing to n Asso c ia tio n o f Are a Ag e nc ie s o n Ag ing o r “W4As”.  AL T SA g ive s funds to a de sig na te d Are a Ag e nc y o n Ag ing in e a c h PSA 8 Area Agency on Aging

 I n so me pa rts o f the sta te , the AAA se rvic e a re a spa ns multiple c o untie s  K ing Co unty se rve s o ne q ua rte r o f the sta te ’ s c lie nts 9

AAA Org a niza tion AAA Str uc tur e s T he Olde r Ame ric a ns Ac t c a lls fo r lo c a l c o ntro l a nd de c isio n ma king No two AAAs look the sa me . City of Se a ttle a c ts a s the umbre lla org a niza tion in pa rtne rship with KC Public He a lth a nd KC Community & Huma n Se rvic e s 10

Why Seattle?  In the 70s Seattle had the infrastructure and the majority of older adults.  The demographics have changed. Now 2/3rds of older adults live in King County.

L oc a l Ag ing Ne twork  L e d b y the AAA, b ut ma y lo o k diffe re nt in e a c h c o mmunity.  AAAs c o ntra c t with lo c a l se rvic e pro vide rs to de live r dire c t se rvic e s. Altho ug h AAAs ma y pro vide so me o r a ll o f the ir se rvic e s dire c tly. Area Agency on Aging Local Service Providers 12

Se a ttle - King County AAA  Wo rks in pa rtne rship with K ing Cty  Guide d b y a vo lunte e r c o nsume r Adviso ry Bo a rd T ha t Advise s, Co nne c ts, Advo c a te s, Co lla b o ra te s 13

Ag ing Ne twork Pa rtne rs I n a dditio n to c o ntra c te d pro vide rs, AAAs b uild info rma l a nd fo rma l pa rtne rships with o the r e ntitie s. Emergency response Adult Housing Protective Authorities Services Area Emergency Agencies Preparedne ss Agencies on Aging Consumer Community Medicaid Agencies Centers Managed Hospitals Care/HMO Networks 14

Wha t We Do  Pla n, c o o rdina te , c o nve ne , c o lla b o ra te , Advo c a te a nd de live r se rvic e s, thro ug h a ne two rk o f c o mmunity pro vide rs & pa rtne rs. 15

AAA Se rvic e s Ma y le ve ra g e o the r sta te o r lo c a l do lla rs to o ffe r a dditio na l pro g ra ms 16

ADS Se rvic e Are a s Core Se rvic e s Othe r Se r vic e s  Co mmunity L iving  Adult Da y He a lth Co nne c tio ns  Ca se Ma na g e me nt  E lde r Ab use  L e g a l Se rvic e s Pre ve ntio n  Me nta l He a lth  F a mily Ca re g ive r  Se nio r Ce nte rs Suppo rt (Se a ttle o nly)  He a lth Pro mo tio n  T ra nspo rta tio n  Ho me De live re d  Ho me c a re / COPE S a nd Co ng re g a te Wa ive r se rvic e s 17 Me a ls (Me dic a id)

Who We Serve  Priority populations as defined by Older Americans Act  Unpaid Caregivers 18+  Medicaid Long Term Care Clients, age 18+ 18

AAA Popula tions  OAA ta rg e ts o lde r a dults (60+) who a re in the g re a te st e c o no mic a nd so c ia l ne e d inc luding :  L o w inc o me  Rura l o r so c ia lly iso la te d  E thnic a nd c ultura l mino ritie s  L imite d E ng lish pro fic ie nc y  AAAs le ve ra g e o the r funds to se rve a b ro a de r po pula tio n b a se . 19

ADS by the Numbe r s  2017 Budg e t: $47 millio n  150 c o ntra c ts with 80 c o mmunity pro vide r a g e nc ie s  200 ADS Sta ff  165 dire c t se rvic e pro g ra ms  35 pla nning & a dministra tio n  48,000 (unduplic a te d) pe o ple re c e ive d se rvic e s in 2016  Ma jo rity we re o lde r a dults  15% unde r a g e 60 20

20 18 Revenue Sources Other Federal Other Local 2% 2% City of Seattle 12% OAA OAA State Funds 16% State Funds Medicaid (Title XIX) 13% City of Seattle Medicaid (Title XIX) 55% Other Federal Other Local 21

Pla nning for L oc a l Ne e ds  Co ntinuo us pro c e ss to ide ntify unme t ne e ds a nd g a ps.  I de ntify pub lic a nd priva te re so urc e s to me e t tho se ne e ds  De ve lo p pla ns a nd pa rtne rships to a ddre ss ne e ds a nd pro mo te o ppo rtunitie s 22

E a c h AAA de ve lops a n Are a Pla n on Ag ing  Re q uire d b y Olde r Ame ric a n’ s Ac t – e ve ry fo ur ye a rs (2016-2019)  Ba se d o n c o mmunity input pro c e ss  I nc lude s:  Org a niza tio n struc ture  Annua l b udg e t  De mo g ra phic tre nds  Go a ls a nd o b je c tive s  Upda te d e ve ry two ye a rs 23

Age Wave & Life Expectancy . 24

Challenges • Social isolation is the health equivalent of Rent Rising Fastest for Older Residents smoking 15 cigarettes a of Seattle and King County day 65% • Life expectancy has Rent as a % of income 60% increased for most older 55% adults, but not all 50% populations have 45% benefited. 40% • Communities of color 35% are more likely to report 30% 2008 2013 being in poorer health Seattle - Age 65+ Seattle General Population than whites. King County 65+ King County General Population 25

Opportunities • Entrepreneurship is rising at The Happiness Curve the fastest rate among individuals aged 55 – 64 • Walking 40 min 3x/week will increase the size of your brain • $7 trillion in economic activity is generated by people 50+ every year and expected to nearly double by 2032. 26

Othe r Initia tive s / E me rg ing Prioritie s  Me dic a id T ra nsfo rma tio n Pro je c t will b ring ne w inno va tive he a lth pro g ra ms to Wa shing to n Sta te .  Ac c o unta b le Co mmunitie s o f He a lth  L o ng -T e rm Se rvic e s a nd Suppo rts*  Suppo rtive Ho using a nd Suppo rte d E mplo yme nt  Re so urc e : http:/ / www.hc a .wa .g o v/ a b o ut-hc a / he a lthie r- wa shing to n/ me dic a id-tra nsfo rma tio n 27

Medicaid Demonstration Project: Three High-Level Initiatives $375 $1.1 million Billion Initi Initiativ tive 2: 2: Initi Initiativ tive 3: 3:  Initiative 1: Health Care Long-term Supportive Delivery system services and housing and transformation supports supported strategies led by employment regional services Accountable Communities of Health (ACHs) 28

Ag e - F rie ndly Se a ttle Ma king Our Re g ion a Gre a t Pla c e to Gr ow Up a nd Gr ow Old Ag e - F rie ndly fra me work • De ve lo pe d b y Wo rld He a lth Org a niza tio n a nd suppo rte d b y AARP • Pro mo te s we ll-b e ing in 8-do ma ins • Co ntinuo us impro ve me nt fo c use d • Ne two rk inc lude s 302 c itie s in 33 c o untrie s 29

Na tiona l a nd Sta te Advoc a c y  Na tio na l Asso c ia tio n o f Are a Ag e nc ie s o n Ag ing (n4a )  Wa shing to n Asso c ia tio n o f Are a Ag e nc ie s o n Ag ing (W4A)  Bo th o rg a niza tio ns:  Se t na tio na l a nd sta te -le ve l prio ritie s  Ra ise the visib ility o f AAAs  Offe r tra ining a nd e duc a tio na l e ve nts  Drive q ua lity impro ve me nt a nd inno va tio n 30